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General NPI Number Information
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NPI Number | 1831634211
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Entity Type | Individual
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Provider Name | KATHERINE MARGARET STEVENS DPT
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Gender | Female
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Dates
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Enumeration Date | 12/21/2016
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Last Update Date | 12/21/2016
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Provider Practice Location Address
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Address Line | 9975 TAVISTOCK LAKES BLVD
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City | ORLANDO
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State | FL
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Zip | 32827-7559
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Country | US
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Telephone | 407-930-7803
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Fax | 407-930-7807
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Provider Business Mailing Address
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Address Line | 13136 HEATHER MOSS DR APT 414
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City | ORLANDO
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State | FL
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Zip | 32837-5527
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Country | US
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Telephone | 505-249-0682
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Fax | 407-930-7807
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT31113
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License Number State | FL
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